750294.pdf6L)Ej j / .c-ol� zp cA'LZ-�/ /(9C�,
1'
TYPE CONNECT10Nr
c PE"" l'
NUMBER
BUILDING DEPARTMENT Applicant FillQ5
-,130 54oci< 6, t4I7-y r.W L-- u(j L
0
-
BUILDING
Inside Heavy Lineajou
PERMIT APPLICATION ADDRESS . �
--29
FERC. TE
PLUMBING
PE MI NU [HER
eos'c%u pia / �r -ej-Z 7 c&•
NAME (OR NAME OF BUSINESS) �r ddd
7-z- PR r'IZ i c Kd1BLE 7 ACTUAL % ^ •p 7
VERAGE LOT COVERAGEl�/L—T/ L/�•Iwr
ESL/E 8r Fi
REMARKS
aPLOT PLAN (Indlcato Building setbacks, abutting streets)
m
b
e
V
LOA00DD
MAILING ADDRESS /
81BLE HEI611T / PROPOSED IiEIGHTwr 130' 3�3
CITY
SEA TTG e-
TELEPHONE NUMBERLARETOT�L4ILDO.�RE }
.-b S— 700REGUIIRED YARDS/7PROPOOSED.ARD.NAME
No
✓/OCCUPANCY
T SIDE REAR FRONT BIDE REAR
/
/W
SPE—✓/CLIA"/L)INSPECCTOORR REQUIRED
OR
RETAINING WALL
-EW DENTIAL
ADDHE88LOT�PER'IT NUMHER1°"AL/�
`
x
NOD
C CITY I TELEPHONE NUMBER
STREET W
EXISTIN STREET RlIT-01Ib.Q.FT. DEFICIENCY THIS PROPERTY
NAME COMP. PLAN ST.
,v REMARKS Driveway slopes not to exceed those,
e ADDRESS
indicated on Standard Dwg No 103
BY
w
—
�CHECKED
CITY
TELEPHONE NUMBER
PLAN CHECKED ng
THIS SITE S LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
O
I pIETFJ> B_(ZE SERVICE/ IZE CLEARANCE
❑ SIGN
RETAINING
`//
\�T'C.r'c..4�{, r. --c.1
CHE ED BY
DEMOLISH ❑ WALT
I E
O STATE LICENSE NUMBER
CITY LICENSE NUMBER �-�
I
I
I
6L)Ej j / .c-ol� zp cA'LZ-�/ /(9C�,
1'
TYPE CONNECT10Nr
VERIF11 r Y~
-,130 54oci< 6, t4I7-y r.W L-- u(j L
0
f
BUILDING
r
--29
FERC. TE
PLUMBING
PE MI NU [HER
eos'c%u pia / �r -ej-Z 7 c&•
REMARKS
aPLOT PLAN (Indlcato Building setbacks, abutting streets)
BEAT & GAS LINE
��yo%tee o �lrfs, >a 39 r«v>�
--(�—�
V
I1
7YJ�
"ST•- ���
FIRE ZONE I TYPE OFT HT CTIpN STREET IMPROVED
No
✓/OCCUPANCY
Q �S
SPE—✓/CLIA"/L)INSPECCTOORR REQUIRED
GROUP
RETAINING WALL
-EW DENTIAL
GASO
LINE
YES Q-110(NEW
—
[E
SWIMMING POOL
PLAN CHECKED ng
THIS SITE S LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
❑ ADD
NON•RF.SIDENTIAL
❑ SIGN
RETAINING
`//
\�T'C.r'c..4�{, r. --c.1
SHOULD BE CODED 31.04.
DEMOLISH ❑ WALT
IMARK9 /
❑ ALTER EXCAVATE FENCD
�% �/ �l�/�IG
/ �L// /�L�f� ,/.si•e, IY7�
0 OR FILL ❑ (..........X........_ 1.)
❑ PRE-hE SWIM SWI
REPAIR ❑
INSP. ❑ POOL
,i .l) y( L: C r. J ✓� U�� S/�Z' ����V"- S
NUMBER OF STORIES NULfIIEH OF
r
' DWELLING
UNITS
TOTAL AMOUNT DUE
NATURE OF W RK TnnO BE DON
-1 ,
formation given le correct; and that I am the owner, or the duly author-
on
Valuation
Fee Rccelpt I
11
1
1
1
1
1
Plan Check N. .....................
]
f
BUILDING
r
MCI
PROPOSED USE
PLUMBING
aPLOT PLAN (Indlcato Building setbacks, abutting streets)
BEAT & GAS LINE
V
I1
FENCE
SIGN
RETAINING WALL
N
—
SWIMMING POOL
DEMOLITION
PRE -MOVE INSPECTION
EXCAVATION OR FILL
9 r n
I hereby acknowledge that I have read this application; that the In.
TOTAL AMOUNT DUE
(T/
V
formation given le correct; and that I am the owner, or the duly author-
on
I
Iced agent of the owner. I agree to comply with city and state law.
ATTENTION
APPLICATION APPROVAL
teling construction; and In doing the work authorized thereby, no person
i
wilt be employed In violation of the Labor Code of the Stale of Washington
TIES PERMIT
This application is not a permit until
relating to Workmen's Compensation Insurance.
AUTHORIZES
signed by the Building Official or his Dep-
i
NOTE: Permit limit One Year (Except DEMOLITIONS which
ONLY TIL
WORK NOTEDE
uty; and fees are paid, and receipt is ac -
shall be completed In ninety days; MOVED -IN BUILDINGS shall be cam-
Imowledged In apace provided.
i
pleted in six months.)
BIG N URE (OWNER R AGENT) DATE 8i0//yD
INSPECTION
DEPARTMENT
n
j
13
��'°a'
l7'-= 11/�j� �v t�C/Lr;�✓i.L�
CITY OF
EDMONDS
ATE
NOTE: Applicant Srlbieet to Plan Check Fee
S
775-2525
This Permit covers work to be done on privets property ONLY,
'
Any eanslrnrtiun nn the public Jomnln (curb., nldrn'alkn, drl' .y.,
FILE
,Li'. ,III r, cadre in rml..o
[tsl—As-nsssns�ggsesmaretlws®n
etsssssrsset�esr.